Jain, Suparna

Jain, Suparna is an individual health care provider with primary practice located at 4745 Sutton Park Court Suite 701, Jacksonville FL 32224-0257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jain, Suparna can be contacted via phone (904) 821-0405.

Contact Information

Primary practice address
4745 Sutton Park Court Suite 701 Jacksonville FL 32224-0257
Phone: (904) 821-0405
Fax: (904) 821-0468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E3946 Arkansas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME97369 Florida

Profile Details

NPI number 1649240839
LBN Legal business name Jain, Suparna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 3rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649240839 NPPES
Florida MEDICAID 2773473-00
Florida MEDICAID 479073104A

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